Individual
JORDAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 W INTERSTATE PKWY, SHAWNEE, OK 74804-1331
(405) 275-0675
Mailing address
19 W INTERSTATE PKWY, SHAWNEE, OK 74804-1331
(405) 261-1952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7996
OK
Other
Enumeration date
03/27/2024
Last updated
07/24/2025
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